Metaphorical framing of the COVID-19 pandemic in Pakistan: A corpus driven critical analysis of war metaphors in news media.

Metaphors are an essential part of how humans process and understand the world. Cognitive linguistics does not view metaphors as merely linguistic or rhetorical devices; rather, they are conceptual in nature and are central to the thought process. Therefore, the present research investigates the metaphorical depiction of the Covid-19 health emergency through the conceptual metaphor of WAR in three renowned Pakistani English Newspapers i.e. Dawn, The Express Tribune, and The News. Critical Metaphor Analysis (CMA) is specifically selected to uncover the covert and possibly unconscious intentions of language users in Newspaper discourse. Fifty (50) editorials on the subject of Covid-19 are specifically chosen and their language is meticulously observed by making a specialized Corpus PakNCovid-19. The size of the corpus is 17621 words. Moreover, Monoconc Corpus Tool is utilized to analyze the metaphorical depiction of Covid-19 as a WAR in Pakistani Newspaper discourse. The study highlights the explicit deployment of military concepts like BATTLE, ENEMY, WAR, SOLDIERS, FIGHT, and VICTORY to create the conception of WAR and to create SELF Vs OTHER distinctions between the Pakistani people and the medical illness of Covid-19. The inquiry demonstrates that to create a sense of urgency and to mobilize masses against the deadly virus, the metaphors of War have been used deliberately. The military concepts have been purposely employed to present Covid-19 as an 'alien', 'outsider', as well as an 'enemy' entity.

The Relation Between War, Starvation, and Fertility Ideals in Sub-Saharan Africa: A Life History Perspective.

In this article, we examine the relations between extreme environmental harshness during childhood and personal fertility ideals in African students. The study is informed by biological models of predictive adaptive responses (PAR) for individual reproductive schedules in the context of life history theory (LHT). Following theoretical models of external and internal environmental cues, we tested whether war and starvation during childhood differentially predict African students' personal fertility ideals in terms of their desired number of children and their desired age of first parenthood. The data were collected in eight different countries from sub-Saharan Africa with an overall sample size of N = 392. Standardized effect estimates were obtained using a Bayesian approach. The results suggest that war and starvation are predictive of the desired number of children, but not of the desired age of first parenthood. Moreover, the effect estimates varied considerably between females and males, indicating possible interactions between the two independent variables depending on the students' sex. Furthermore, we found a small negative correlation between the desired number of children and the desired age of first parenthood, providing only weak support for a clustering of the two variables on a slow-fast continuum. The results are discussed in light of current models of individual life histories in humans.

Expanding trauma education during war: pediatric trauma fundamentals training in Ukraine.

Introduction: On 24 February 2022, Russia launched a large-scale offensive in Ukraine, resulting in significant casualties to civilians, including children. As part of a seven-stream trauma education initiative, a novel pediatric trauma fundamentals course (PTF) was developed to provide standalone pediatric trauma education by our academic/NGO partnership. The objective of the program was to develop, implement, and evaluate a novel PTF educational course in the active armed conflict zone of Ukraine. Methods: A novel two-day PTF course was internally developed, translated into Ukrainian, and implemented across eight Oblasts (regions) in Ukraine from November 2022 to December 2023. Participants completed pre-and post-assessments in knowledge and self-confidence, and critical skills were assessed against objective skill checklists. Change in knowledge and self-confidence were analyzed, respectively, with the nonparametric Wilcoxon matched-pairs signed-rank test and McNemar's test for paired data. Anonymous course evaluations were solicited after each course. Six to eight-week follow-up surveys were conducted to assess skill utilization and stewardship. Results: Four hundred and forty-six Ukrainian health care providers were trained during 30 courses across 8 Oblasts in Ukraine during the intervention period. Aggregated knowledge and self-confidence significantly improved across all measures. Ukrainian instructors of courses received higher raw scores across all evaluation points on instructor feedback surveys as compared to international instructors. Six to eight-week follow-up surveys demonstrated participants had positive views of the training, have used the training on patients, and have taught the material to other health care providers. Discussion: Our novel PTF intervention demonstrates a successful partnership-based model for implementing pediatric trauma education in an active conflict zone in Ukraine. Challenges to implementing such programs can be mitigated through strategic partnership-based models between academic institutions and organizations with local knowledge and expertise. Ukrainian instructors provide course experiences similar or superior to international instructors, likely due to multiple factors related to language, culture, and context.

Retrospective comparative analysis of two medical evacuation systems for Ukrainian patients affected by war.

INTRODUCTION: Coordinated medical evacuations represent an important strategy for emergency response when healthcare systems are impaired by armed conflict, particularly for patients diagnosed with life-threatening conditions such as cancer. In this study, we compare the experiences of two parallel medical evacuation systems developed to meet the medical needs of Ukrainians affected by war. METHODS: This retrospective study compared outcomes of two medical evacuation systems, developed by the European Union Emergency Response Coordination Centre (ERCC) and Supporting Action for Emergency Response in Ukraine (SAFER Ukraine) collaborative, in the first 10 months after the war's intensification in Ukraine (February 24 to December 21, 2022). Each groups' respective registries served as data sources. Patient demographics and allocation data were summarized descriptively. Median time for patient referral were analyzed statistically. RESULTS: The ERCC pathway evacuated 1385 patients (median age: 36 [0 - 85] years) to 16 European countries; 78.7 % (n = 1091) suffered from trauma-related injuries and 13.4 % (n = 185) from cancer. SAFER Ukraine evacuated 550 patients (median age: 9 [0 - 22] years) to 14 European and North American countries; 97.1 % (n = 534) were children diagnosed with cancer or blood disorders. The median evacuation time for the SAFER Ukraine cohort was shorter than the ERCC cohort (p < 0.001), though comparable (six versus seven days). CONCLUSION: The ERCC and SAFER Ukraine collaborative successfully developed medical evacuation pathways to meet the needs of Ukrainian patients impacted by war. System comparison provides opportunity to identify strategies for parallel system harmonization and a pragmatic example of how to anticipate support of these patients in future armed conflicts.

[Wars and the search for a safer world. The role of healthcare.] / Le guerre e la ricerca di un mondo più sicuro. Il ruolo della sanità.

Wars destroy human rights, promoting violence as a means to resolve conflicts and cause profound direct and indirect health consequences for people. As important as it is that healthcare does not enter into the merits of the responsibilities for wars, it is equally important that healthcare places itself, in principle, in opposition to war. Despite the enormous impacts of wars and armed conflicts, global public health is poorly prepared to mitigate the threats of wars and armed conflicts. The tragedies, challenges and public health consequences of war are often overlooked and do not receive adequate attention from the international community. Healthcare should globally recognize wars and armed conflicts as a public health emergency and provide the required level of attention. Public health professionals should be aware of the impacts of wars, represent a single voice and coordinate in concerted efforts globally to stand in solidarity, without any discrimination, with conflict-affected communities by understanding their critical needs. Together we can be the voice that says "stop", striving to build a safer world for all.

[ON SWORDS WAR - THE BATTLE FOR THE SOUL].

INTRODUCTION: The Iron Swords War broke out with an unprecedented attack of brutality, leaving soldiers, civilians, residents of the Israeli settlements surrounding Gaza, and participants of the Nova Festival severely traumatized. Israel was exposed to loss, bereavement, sexual abuse, kidnapping of civilians and soldiers, including children, women, and the elderly. Identification of bodies to be brought to honorable burial, while simultaneously organizing for combat and the ongoing war, resulted in physical and mental injuries. This prolonged war has also led to the evacuation of communities from the areas surrounding Gaza and from the cities and settlements on Israel's northern borders to safer locations, causing them to be displaced persons in their own country. At the outbreak of the war, the public mental health system was at an unprecedented low, lacking professional therapists, with long waiting lists for treatment across all domains of mental health care. Psychiatric hospitals, health funds' mental health clinics and non-governmental organizations (NGOs), and the military mental health care system have been working tirelessly to train therapists to seek more effective trauma treatment and to maximize treatment capacity. The activities resulting from this intensive effort, are reflected in the articles in this special issue. This issue, is primarily dedicated to saluting the efforts of mental health care providers, while looking forward and understanding that the mental damage from the war, the displacement, the captivity, the sexual abuse, and more, will need to be addressed and treated for many years to come. Many works were submitted for this special issue, and the number of articles accepted were beyond the normal range of the issue. We could not have faced the challenge of handling these materials without the support (and tireless leadership) of Mrs. Rena Kurs, to whom we are deeply grateful. We all look forward to the return of all the hostages and a return to focusing on health and normality.

[PREVENTING SECONDARY TRAUMATIZATION IN MAGEN DAVID ADOM FIRST RESPONDERS DURING THE IRON SWORDS WAR: AN INTERIM REPORT].

INTRODUCTION: Following the onset of the "Iron Swords" war, Israel's National Emergency Medical Organization Magen David Adom (MDA) implemented a program designed to prevent post-traumatic sequelae among its teams. 'Team debriefing' is at the core of the program, which also includes primary, secondary, and tertiary prevention carried out regularly to preclude psychological harm to employees and volunteers. Apart from the initial team debriefings, MDA's enhanced prevention program includes several other components and stages. Beginning on October 9, 2023, potentially traumatized teams met with senior mental health professionals: a refresher course on how to conduct debriefing sessions was offered to assist managers and senior staff to plan for appropriate prevention responses. Personal follow-ups were enacted by MDA's Human Resources Department for all team members living in southern Israel and others who took part in operations there when the war first broke out. Periodic team discussions were held for potentially traumatized staff and volunteers with senior mental health professionals. Meetings with senior mental health professionals via two modes of video conferencing were conducted: specialized meetings with at-risk teams and open meetings for the entire organization in the webinar format. A centralized referral system was expanded for assessment and immediate treatment, if necessary, by mental health professionals for employees and volunteers in need. We trust that these measures will enhance the operational readiness of the MDA staff and volunteers in the face of their increased workloads and the associated psychological pressures. We are convinced that the prompt implementation of a debriefing strategy within our organization cultivates resilience and confidence in the MDA teams, promotes a sense of togetherness among the personnel, and advances a state of readiness and operational alert.

Teachers' assessment of the mental health of children with special educational needs during the war.

OBJECTIVE: Aim: To study the results of teachers' assessment of the mental health of high schoolers with special educational needs (SEN) after the 1.5 years of war in Ukraine. PATIENTS AND METHODS: Materials and Methods: Teachers' assessment of the mental health of high schoolers with SEN was conducted through an anonymous survey of teachers using the questionnaire developed by the authors. The research, conducted in 2023, involved 739 teachers working with high schoolers (ages 6-10) with SEN. RESULTS: Results: It was found that 32.3 % of high schoolers were in the combat zone or on the temporarily occupied territory; 31.7 % of high schoolers were forced to leave their homes and were temporarily displaced, 17.7 % went through a separation from their parents, 15.8 % witnessed hostilities, and 3.8 % suffered bullying from their peers. In the educational process, high schoolers with SEN most often experienced anxiety (55.2 %), "emotional swings" (48.4 %), restlessness (44.8 %), fear (37.2 %). During the 1.5 years of war, 15.4 % of high schoolers began to study worse, 12.9 % began to spend more time playing computer games and on social media. It was found that 59.9 % of teachers need more information on maintaining the mental health of high schoolers with SEN. CONCLUSION: Conclusions: The results obtained proved the negative impact of hostilities on the territory of Ukraine on the mental health of high schoolers with SEN, which necessitates the provision of adequate psychological support by teachers of such high schoolers in the educational process.

Addressing neurosurgical challenges in war conflict countries.

The Russo-Ukrainian war caused significant humanitarian and healthcare issues in the Russo-Ukrainian region, which were further aggravated by the escalation of the conflict on February 2022. Because of this ongoing confrontation between the two nations, which has its roots in geopolitical conflicts and historical events, there have been nearly 4 million refugees in only the first month, and 906 healthcare institutions have sustained significant damage. Consequently, the demand for medical services has increased, adding onto the burden of the pre-existing problems within the region's healthcare system, such as inequities, budget shortages, and corruption. With nearly 500,000 military deaths and an estimated 27,1499 civilian casualties, the war's immediate health effects are devastating. Due to inadequate disease surveillance and difficulties with immunization, the risk of infectious illnesses, particularly HIV/AIDS and tuberculosis, increased. Although there were originally few mental health problems, the long-term effects are yet unknown. Some of the indirect effects are the severe refugee situation, the burden on public infrastructure, and problems with the security of food and water. Unprecedented obstacles confronted neurosurgery in the Russo-Ukrainian region, including increased patient loads from war-related cases, resource limitations, and facility devastation. Many countries stepped up to aid in managing neurosurgeries however, the some of the problems still persisted, such as insufficient sterility and power outages. Strengthened security standards, financial incentives, telemedicine services, and cooperation with international medical organizations are the main points of recovery recommendations. Rebuilding the region's healthcare system and guaranteeing ongoing foreign support after the conflict require a comprehensive strategy that addresses both short- and long-term issues.

Under siege: The role of settler colonialism in targeting healthcare systems.

This article looks at the effects of armed conflict on healthcare systems in Gaza at the intersection of international humanitarian aid, settler colonialism and the ethics of war. Since October 7, 2023, there has been a systemic assault on the health services in Gaza, rooted in colonial expansion. I begin with an overview of human rights and the concept of medical neutrality. This is followed by biopolitics within Gaza and the contradictions in international law regarding the ethics of war. Explained through the lens of historical revisionism, postcolonial theory and biopolitics, I attempt to highlight how healthcare systems are increasingly becoming targets of armed conflict in Gaza as a war strategy.

Landscape of fear: indirect effects of conflict can account for large-scale population declines in non-state societies.

The impact of inter-group conflict on population dynamics has long been debated, especially for prehistoric and non-state societies. In this work, we consider that beyond direct battle casualties, conflicts can also create a 'landscape of fear' in which many non-combatants near theatres of conflict abandon their homes and migrate away. This process causes population decline in the abandoned regions and increased stress on local resources in better-protected areas that are targeted by refugees. By applying analytical and computational modelling, we demonstrate that these indirect effects of conflict are sufficient to produce substantial, long-term population boom-and-bust patterns in non-state societies, such as the case of Mid-Holocene Europe. We also demonstrate that greater availability of defensible locations act to protect and maintain the supply of combatants, increasing the permanence of the landscape of fear and the likelihood of endemic warfare.

War and peace in public health education and training: a scoping review.

BACKGROUND: Armed conflict and war are public health disasters. Public health action has a crucial role in conflict-related emergencies and rehabilitation but also in war prevention and peace promotion. Translating this into public health training and competencies has just started to emerge, especially in Europe. METHODS: We conducted a Scoping Review to map and identify the role of public health education and training of public health workforce relating to the prevention of war and promoting peace, as reflected in the scientific literature. We searched in PubMed, CINAHL, PsycINFO, Embase, Web of Science Core Collections as well as the reference list of included material in English, German and Polish. Focusing initially on the European region, we later expanded the search outside of Europe. RESULTS: We included 7 publications from opinion pieces to an empirical assessment of curricula and training. The educational programs were predominantly short-term and extra-curricular in postgraduate courses addressing both public health professionals in conflict-affected countries as well as countries not directly affected by war. Publications focused on public health action in times of war, without specifying the context and type of war or armed conflict. Competencies taught focused on emergency response and multi-disciplinary collaboration during emergencies, frequently drawing on experience and examples from natural disaster and disease outbreak management. CONCLUSIONS: The scientific discourse on competences in public health education for times of war and for the promotion of peace, predominately focuses on immediate emergency response actions. The prevention of war and the promotion of peace are missing foci, that need to feature more prominently in public health training. Public Health Education and training should ensure that war prevention and peace promotion, as well as public health action in times of war, are included in their competencies for public health professionals.